Health Flexible Spending Arrangements Improvements Act of 2012

Support for H.R. 436, Health Care Cost Reduction Act of 2012, H.R. 1004, Medical FSA Improvement Act of 2011 and S.1404, Medical FSA Improvement Act of 2011.

Client expense: Not reported · Firm income: $40,000

Government targets: HOUSE OF REPRESENTATIVES, SENATE

H.R.369, Health Savings and Affordability Act (Austria) HSA improvements 16. Specific Lobbying Issues (continued): H.R. 436, Health Care Cost Reduction Act (Paulsen) HSA, HRA, FSA provisions, ACA provisions H.R. 450, Restoring Assistance for Families' and Seniors' Health Expenses Act (Reichert) repeal of HSA and FSA restrictions H.R. 524, Restoring Consumer-driven Health Care Act (Quayle) repeal of HSA restrictions H.R. 605, Patients' Freedom to Choose Act (Paulsen) repeal of HSA and FSA restrictions H.R. 1004, Health Flexible Spending Arrangements Improvements Act (Boustany) -- distribution of unused amounts from a Health FSA H.R. 1370, Repeal of ACA Premium Tax (Boustany) H.R. 2010, Family and Retirement Health Investment Act (Paulsen) HSA and FSA improvements H.R. 2529, Restoring Access to Medication Act (Jenkins) use of HSA funds and FSA funds to purchase OTC medications H.R. 5842, Restoring Access to Medication Act (Jenkins) use of HSA, HRA, and FSA funds for over-the-counter medications H.R. 5858, Health Savings Accounts Improvements Act (Herger) HSA provisions H.R. 6005, Long-Term Care and Retirement Security Act (Courtney) tax incentives for purchase of LTC insurance, consumer protections H.R. 6088, Repeal of the Unfair Taxes on Health Care Act (Schweikert) repeal of ACA premium tax and restrictions on HSAs / FSAs H.R. 6137, Helping Save Americans' Health Care Choices Act (Fleming) HSA and FSA provisions H.R. 6162, Ensuring Women's Access to Free-Market Healthcare Act (Cassidy) pregnancy-related coverage by HSA plans S. 312, Patients' Freedom to Choose Act (Hutchison) repeal of HSA and FSA restrictions S. 1098, Family and Retirement Health Investment Act (Hatch) HSA and FSA improvements S. 1368, Restoring Access to Medication Act (Roberts) use of HSA funds and FSA funds to purchase OTC medications S. 1880, Jobs and Premium Protection Act (Barrasso) repeal of health insurance premium tax S. 2237, Small Business Jobs and Tax Relief Act (Reid) amendment to repeal ACA premium tax S. 2516, the FDA Safety and Innovation Act (Harkin) pharmaceutical, medical device issues S. 3187, the FDA Safety and Innovation Act (Harkin) pharmaceutical, medical device issues Regulatory Issues: Annual insurer provider fees; issues concerning the patient-centered outcomes research fee; employer coverage mandate, W-2 reporting requirements, health insurer fee, and other issues relating to health care reform implementation.

Client expense: $2,020,000 · Firm income: Not reported

Government targets: Agency for Healthcare Research & Quality (AHRQ), Centers For Medicare and Medicaid Services (CMS), Executive Office of the President (EOP), Federal Bureau of Investigation (FBI), Federal Trade Commission (FTC), Food & Drug Administration (FDA), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Health Resources & Services Administration (HRSA), Internal Revenue Service (IRS), Justice, Dept of (DOJ), Labor, Dept of (DOL), Medicare Payment Advisory Commission (MedPAC), Office of Management & Budget (OMB), Office of Personnel Management (OPM), Pension & Welfare Benefits Administration, SENATE, Treasury, Dept of, White House Office

Various issues related to the Patient Protection and Affordable Care Act (P.L. 111-148) and Health Care and Education Reconciliation Act of 2010 (P.L. 111-152); H.R. 1744/S. 20 employer mandate repeal; H.R. 1063/S. 1718 Medicare Secondary Payer reform; H.R. 2206 auto enrollment repeal; consumer directed health products; H.R. 436; H.R. 5842; H.R. 2529; H.R. 1004; H.R. 5858; H.R. 2010; S. 1098; S. 1368; H.R. 605; S. 312; H.R. 450

Client expense: $1,010,000 · Firm income: Not reported

Government targets: Commerce, Dept of (DOC), Consumer Product Safety Commission (CPSC), Equal Employment Opportunity Commission (EEOC), Federal Reserve System, Federal Trade Commission (FTC), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Homeland Security, Dept of (DHS), Internal Revenue Service (IRS), Justice, Dept of (DOJ), Labor, Dept of (DOL), Natl Labor Relations Board (NLRB), Office of Management & Budget (OMB), Office of the Comptroller of the Currency (OCC), SENATE, Securities & Exchange Commission (SEC), Transportation, Dept of (DOT), Treasury, Dept of, U.S. Customs & Border Protection, U.S. International Trade Commission (ITC), U.S. Trade Representative (USTR), White House Office

Issues related to health care/insurance reform; long-term care reform; H.R. 5; H.R. 1173; H.R. 1206; H.R. 1004 Issues related to the implementation of the Patient Protection and Affordable Care Act of 2010.

Client expense: $215,000 · Firm income: Not reported

Government targets: Centers For Medicare and Medicaid Services (CMS), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Labor, Dept of (DOL), SENATE, Securities & Exchange Commission (SEC)

Health Care Reform regulatory implementation and compliance issues from the Patient Protection and Affordable Care Act (PPACA) Public Law No: 111-148 & the Health Care and Education Reconciliation Act of 2010 (HCERA) Public Law No: 111-152 Health Flexible Spending Arrangements Improvements Act of 2012 H.R. 1004 Medicare Beneficiary Freedom to Choose Act of 2011 H.R. 1051 Preserving our Hometown Independent Pharmacies Act of 2011 H.R. 1946 Family and Retirement Health Investment Act of 2011 H.R. 2010 Tax Parity for Health Plan Beneficiaries Act of 2011 H.R. 2088/S. 1171 Restoring Access to Medication Act of 2012 H.R. 2529/5842 Health Savings Accounts Improvements Act of 2012 H.R. 5858 Empowering States to Innovate Act S. 248 Patients Freedom to Choose Act S. 312 Family and Retirement Health Investment Act S. 1098 Other Issues Health care provider compensation Internal Revenue Code Section 162 (m) (6) Electronic disclosure, communication by employee benefit plans Consumer directed health care plans HDHPs, HSAs, HRAs FSA Plan Year Limit transition guidance Mental Health Parity Rules

Client expense: $328,952 · Firm income: Not reported

Government targets: Centers For Medicare and Medicaid Services (CMS), Commodity Futures Trading Commission (CFTC), Equal Employment Opportunity Commission (EEOC), Federal Accounting Standards Advisory Board (FASAB), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Internal Revenue Service (IRS), Labor, Dept of (DOL), Office of Management & Budget (OMB), Pension Benefit Guaranty Corporation (PBGC), SENATE, Securities & Exchange Commission (SEC), Treasury, Dept of, White House Office

S. 1506, to prevent the Secretary of the Treasury from expanding United States bank reporting requirements with respect to interest on deposits paid to nonresident aliens. S. 1787, the Wall Street Trading and Speculators Tax Act (provisions to impose a 3-basis-point tax on financial trading transactions) S. 3412, the Middle Class Tax Cut Act (provisions to extend certain current tax rates on income, capital gains, and dividends) H.J. Res. 108, Providing for congressional disapproval under chapter 8 of title 5, United States Code, of the rules submitted by the Department of the Treasury and the Internal Revenue Service relating to the reporting requirements for interest that relates to deposits maintained at United States offices of certain financial institutions and is paid to certain nonresident alien individuals. H.R. 1004, the Health Flexible Spending Arrangements Improvements Act of 2012 H.R. 1439, the Business Activity Tax Simplification Act of 2011 (all provisions) H.R. 2568, a bill to prevent the Secretary of the Treasury from expanding United States bank reporting requirements with respect to interest on deposits paid to nonresident aliens. H.R. 3313, the Wall Street Trading and Speculators Tax Act (provisions to impose a 3-basis-point tax on financial trading transactions) H.R. 4336, to amend the Internal Revenue Code of 1986 to extend the exclusion from gross income of discharges of qualified principal residence indebtedness (all provisions) H.R. 4348, the Surface Transportation Extension Act of 2012 (provisions to prohibit U.S. banks from accepting wire transfers or credit cards from certain foreign banks; to reauthorize the National Flood Insurance Program for five years; and to extend for one year the 3.4 percent interest rate on certain federal student loans) H.R. 5842, the Restoring Access to Medication Act of 2012 H.R. 5858, the Health Savings Accounts Improvements Act of 2012

Client expense: $2,110,000 · Firm income: Not reported

Government targets: HOUSE OF REPRESENTATIVES, SENATE

H.R.5-Help Efficient, Accessible, Low Cost, Timely Healthcare (HEALTH) Act of 2011 H.R. 8- American Taxpayer Relief Act of 2012 H.R.157-Health Care Safety Net Enhancement Act of 2011 H.R.314-Medical Liability Procedural Reform Act of 2011 H.R.376-Volunteer Emergency Services Recruitment and Retention Act of 2011 H.R.436-Health Care Cost Reduction Act of 2012 H.R.452-Medicare Decisions Accountability Act of 2011 H.R.541-Pay for all your Undocumented Procedures (PAY UP) Act of 2011 H.R.816-Provider Shield Act of 2011 H.R.896-Medical Justice Act of 2011 H.R.969- Medical Practice Freedom Act of 2011 H.R. 971-Critical Care Assessment and Improvement Act of 2011 H.R.1004-Health Flexible Spending Arrangements Improvements Act of 2012 H.R.1117-Air Ambulance Patient Safety, Protection, and Coordination Act H.R. 1063-Strengthening Medicare And Repaying Taxpayers Act of 2011 H.R. 1206- Access to Professional Health Insurance Advisors Act of 2011 H.R.1256-Medicare Physician Payment Transparency and Assessment Act of 2011 H.R.1310-To amend the Internal Revenue Code of 1986 to exempt certain emergency medical devices from the excise tax on medical devices, and for other purposes H.R.1629-Family Health Care Accessibility Act of 2011 H.R.1668-Danny McIntosh Emergency Medical Service Providers Protection Act H.R.1683-State Flexibility Act H.R.1852-Children's Hospital GME Support Reauthorization Act of 2011 H.R.1941-Hiring Heroes Act of 2011 H.R.2104-Consistency, Accuracy, Responsibility, and Excellence in Medical Imaging and Radiation Therapy (CARE) Act of 2011 H.R.2205-Ending Defensive Medicine and Encouraging Innovative Reforms Act of 2011 H.R.2353-Volunteer Responder Incentive Protection Reauthorization Act of 2011 H.R.2405-Pandemic and All-Hazards Preparedness Reauthorization Act of 2011 H.R.2472-Health Care Professionals Protection Act of 2011 H.R.2488-SERVE Act of 2011 H.R.2523-Physician Availability Act of 2011 H.R.2853-Emergency Medic Transition (EMT) Act of 2011 H.R.2903-Federal Emergency Management Agency (FEMA) Reauthorization Act of 2012 H.R.3000-Empowering Patients First Act H.R.3144-Field EMS Quality Innovation and Cost Effectiveness Improvements Act H.R.3269-Diagnostic Imaging Services Protection Act of 2011 H.R.3511- Cardiac Arrest Survival Act of 2011 H.R.3586-Good Samaritans Health Professionals Act of 2011 H.R.3625-Cardiomyopathy Health Education, Awareness, Risk Assessment, and Training in the Schools (HEARTS) Act of 2011 H.R.4124-Veteran Emergency Medical Technician Support Act of 2012 H.R.4242-Ensuring Quality Health Care for All Americans Act of 2012 H.R.5707-Medicare Physician Payment Innovation Act of 2012 H.R.5842-Restoring Access to Medication Act of 2012 H.R.5858-Health Savings Accounts Improvements Act of 2012 H.R. 6079-Repeal of Obama Care Act H.R. 6142-Assuring Medicare Stability and Access for Seniors Act of 2012 H.R. 6163-National Pediatric Research Network Act of 2012 H.R. 6562-Resident Physician Shortage Reduction Act of 2012 H.R. 6672- Pandemic and All-Hazards Preparedness Reauthorization Act of 2012 H.R. 6719- Telehealth Promotion Act of 2012 S.223-FAA Air Transportation Modernization and Safety Improvement Act S.385-Dale Long Emergency Medical Services Providers Protection Act S.668-Health Care Bureaucrats Elimination Act S.868-State Flexibility Act S.932-SERVE Act of 2011 S.933-Volunteer Responder Incentive Protection Reauthorization Act of 2011 S.951-Hiring Heroes Act of 2011 S.958-Children's Hospital GME Support Reauthorization Act of 2011 S.1059-Family Health Care Accessibility Act of 2011 S.1099-Help Efficient, Accessible, Low Cost, Timely Healthcare (HEALTH) Act of 2011 S.1407-Air Ambulance Medicare Accreditation and Accountability Act S.1855-Pandemic and All-Hazards Preparedness Reauthorization Act of 2011

Client expense: $695,377 · Firm income: Not reported

Government targets: HOUSE OF REPRESENTATIVES, SENATE

S. 1506, to prevent the Secretary of the Treasury from expanding United States bank reporting requirements with respect to interest on deposits paid to nonresident aliens S. 1787, the Wall Street Trading and Speculators Tax Act (provisions to impose a 3-basis-point tax on financial trading transactions)S. 3412, the Middle Class Tax Cut Act (provisions to extend certain current tax rates on income, capital gains, and dividends) H.J. Res. 108, Providing for congressional disapproval under chapter 8 of title 5, United States Code, of the rules submitted by the Department of the Treasury and the Internal Revenue Service relating to the reporting requirements for interest that relates to deposits maintained at United States offices of certain financial institutions and is paid to certain nonresident alien individuals. H.R. 1004, the Health Flexible Spending Arrangements Improvements Act of 2012 H.R. 1439, the Business Activity Tax Simplification Act of 2011 (all provisions) H.R. 2568, a bill To prevent the Secretary of the Treasury from expanding United States bank reporting requirements with respect to interest on deposits paid to nonresident aliens. H.R. 3313, the Wall Street Trading and Speculators Tax Act (provisions to impose a 3-basis-point tax on financial trading transactions) H.R. 3630, the Temporary Payroll Tax Cut Continuation Act of 2011 (increase in the Fannie Mae and Freddie Mac credit-risk guarantee fees as revenue offset, included in the conference report) H.R. 4336, to amend the Internal Revenue Code of 1986 to extend the exclusion from gross income of discharges of qualified principal residence indebtedness (all provisions) H.R. 4348, the Surface Transportation Extension Act of 2012 (provisions to prohibit U.S. banks from accepting wire transfers or credit cards from certain foreign banks; to reauthorize the National Flood Insurance Program for five years; and to extend for one year the 3.4 percent interest rate on certain federal student loans) H.R. 5842, the Restoring Access to Medication Act of 2012 H.R. 5858, the Health Savings Accounts Improvements Act of 2012

Client expense: $1,650,000 · Firm income: Not reported

Government targets: HOUSE OF REPRESENTATIVES, SENATE

Insurance and tax issues - HR 5, HR 1206; HR 1004. HR 1173, HR 661. S. 267

Client expense: Not reported · Firm income: $10,000

Government targets: HOUSE OF REPRESENTATIVES, SENATE

H.R. 9 Small Business Tax Cut Act H.R. 436 Protect Medical Innovation Act H.R. 5842 Restoring Access to Medications Act H.R. 5858 Health Savings Account Improvement Act H.R. 1004 Health Flexible Spending Account Improvement Act S. 1796 Free File Improvement Act of 2011 H.R. 5974 Invest in America Now Act of 2012 H.R. 4348 An act to authorize funds for Federal-aid highways, highway safety programs, and transit programs, and for other purposes. H.R. 6079 Repeal of Obamacare Act S. 971 Digital Goods and Services Tax Fairness Act of 2011 H.R. 1860 Digital Goods and Services Tax Fairness Act of 2011 S.1452 Main Street Fairness Act H.R.2701 Main Street Fairness Act H.R.3179 Marketplace Equity Act of 2011 S.1832 Marketplace Fairness Act H.R. 1834 Freedom to Invest Act of 2011 S. 2204 Repeal Big Oil Tax Subsidies Act H.R.8 Job Protection and Recession Prevention Act of 2012 H.R.6169 Pathway to Job Creation through a Simpler, Fairer Tax Code Act of 2012

Client expense: $1,160,000 · Firm income: Not reported

Government targets: Environmental Protection Agency (EPA), Executive Office of the President (EOP), Federal Communications Commission (FCC), HOUSE OF REPRESENTATIVES, SENATE

S. 3187 Food and Drug Administration Safety and Innovation Act H.R. 436 Protect Medical Innovation Act H.R. 5842 Restoring Access to Medications Act H.R. 5858 Health Savings Account Improvement Act H.R. 1004 Health Flexible Spending Account Improvement Act H.R. 6079 Repeal of Obamacare Act,

Client expense: $1,160,000 · Firm income: Not reported

Government targets: Environmental Protection Agency (EPA), Executive Office of the President (EOP), Federal Communications Commission (FCC), HOUSE OF REPRESENTATIVES, SENATE

Issues related to health care/insurance reform; long-term care reform; H.R. 5; H.R. 1173; H.R. 1206; H.R. 1004 Issues related to the implementation of the Patient Protection and Affordable Care Act of 2010.

Client expense: $615,000 · Firm income: Not reported

Government targets: Centers For Medicare and Medicaid Services (CMS), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Labor, Dept of (DOL), SENATE, Securities & Exchange Commission (SEC)

H.R.369, Health Savings and Affordability Act (Austria) - HSA improvements. H.R. 436, Health Care Cost Reduction Act (Paulsen) - HSA, HRA, FSA provisions, ACA provisions. H.R. 450, Restoring Assistance for Families' and Seniors' Health Expenses Act (Reichert) - repeal of HSA and FSA restrictions. H.R. 524, Restoring Consumer-driven Health Care Act (Quayle) - repeal of HSA restrictions. H.R. 605, Patients' Freedom to Choose Act (Paulsen) - repeal of HSA and FSA restrictions. H.R. 1004, Health Flexible Spending Arrangements Improvements Act (Boustany) -- distribution of unused amounts from a Health FSA. H.R. 1370, Repeal of ACA Premium Tax (Boustany). H.R. 2010, Family and Retirement Health Investment Act (Paulsen) - HSA and FSA improvements. H.R. 2529, Restoring Access to Medication Act (Jenkins) - use of HSA funds and FSA funds to purchase OTC medications. H.R. 5842, Restoring Access to Medication Act (Jenkins) - use of HSA, HRA, and FSA funds for over-the-counter medications. H.R. 5858, Health Savings Accounts Improvements Act (Herger) - HSA provisions. H.R. 6005, Long-Term Care and Retirement Security Act (Courtney) - tax incentives for purchase of LTC insurance, consumer protections. H.R. 6088, Repeal of the Unfair Taxes on Health Care Act (Schweikert) - repeal of ACA premium tax and restrictions on HSAs / FSAs. H.R. 6137, Helping Save Americans' Health Care Choices Act (Fleming) - HSA and FSA provisions. H.R. 6162, Ensuring Women's Access to Free-Market Healthcare Act (Cassidy) - pregnancy-related coverage by HSA plans. S. 312, Patients' Freedom to Choose Act (Hutchison) - repeal of HSA and FSA restrictions. S. 1098, Family and Retirement Health Investment Act (Hatch) - HSA and FSA improvements. S. 1368, Restoring Access to Medication Act (Roberts) - use of HSA funds and FSA funds to purchase OTC medications. S. 1880, Jobs and Premium Protection Act (Barrasso) - repeal of health insurance premium tax. S. 2237, Small Business Jobs and Tax Relief Act (Reid) - amendment to repeal ACA premium tax. S. 2516, the FDA Safety and Innovation Act (Harkin) - pharmaceutical, medical device issues. S. 3187, the FDA Safety and Innovation Act (Harkin) - pharmaceutical, medical device issues.

Client expense: Not reported · Firm income: $60,000

Government targets: HOUSE OF REPRESENTATIVES, SENATE

S. 1506, to prevent the Secretary of the Treasury from expanding United States bank reporting requirements with respect to interest on deposits paid to nonresident aliens S. 1787, the Wall Street Trading and Speculators Tax Act (provisions to impose a 3-basis-point tax on financial trading transactions) S. 3412, the Middle Class Tax Cut Act (provisions to extend certain current tax rates on income, capital gains, and dividends) H.J. Res. 108, Providing for congressional disapproval under chapter 8 of title 5, United States Code, of the rules submitted by the Department of the Treasury and the Internal Revenue Service relating to the reporting requirements for interest that relates to deposits maintained at United States offices of certain financial institutions and is paid to certain nonresident alien individuals. H.R. 1004, the Health Flexible Spending Arrangements Improvements Act of 2012 H.R. 1439, the Business Activity Tax Simplification Act of 2011 (all provisions) H.R. 2568, a bill To prevent the Secretary of the Treasury from expanding United States bank reporting requirements with respect to interest on deposits paid to nonresident aliens. H.R. 3313, the Wall Street Trading and Speculators Tax Act (provisions to impose a 3-basis-point tax on financial trading transactions) H.R. 3630, the Temporary Payroll Tax Cut Continuation Act of 2011 (increase in the Fannie Mae and Freddie Mac credit-risk guarantee fees as revenue offset, included in the conference report) H.R. 4336, to amend the Internal Revenue Code of 1986 to extend the exclusion from gross income of discharges of qualified principal residence indebtedness (all provisions) H.R. 4348, the Surface Transportation Extension Act of 2012 (provisions to prohibit U.S. banks from accepting wire transfers or credit cards from certain foreign banks; to reauthorize the National Flood Insurance Program for five years; and to extend for one year the 3.4 percent interest rate on certain federal student loans) H.R. 5842, the Restoring Access to Medication Act of 2012 H.R. 5858, the Health Savings Accounts Improvements Act of 2012

Client expense: $1,650,000 · Firm income: Not reported

Government targets: HOUSE OF REPRESENTATIVES, SENATE

Various issues related to the Patient Protection and Affordable Care Act (P.L. 111-148) and Health Care and Education Reconciliation Act of 2010 (P.L. 111-152); H.R. 1744/S. 20 employer mandate repeal; H.R. 1063/S. 1718 Medicare Secondary Payer reform; H.R. 2206 auto enrollment repeal; consumer directed health products; H.R. 436; H.R. 5842; H.R. 2529; H.R. 1004; H.R. 5858; H.R. 2010; S. 1098; S. 1368; H.R. 605; S. 312; H.R. 450.

Client expense: $1,080,000 · Firm income: Not reported

Government targets: Commerce, Dept of (DOC), Consumer Product Safety Commission (CPSC), Equal Employment Opportunity Commission (EEOC), Federal Reserve System, Federal Trade Commission (FTC), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Homeland Security, Dept of (DHS), Internal Revenue Service (IRS), Justice, Dept of (DOJ), Labor, Dept of (DOL), Natl Labor Relations Board (NLRB), Office of Management & Budget (OMB), Office of Thrift Supervision (OTS), Office of the Comptroller of the Currency (OCC), SENATE, Securities & Exchange Commission (SEC), Transportation, Dept of (DOT), Treasury, Dept of, U.S. Customs & Border Protection, U.S. Trade Representative (USTR), White House Office

H.R.369, Health Savings and Affordability Act (Austria) HSA improvements 16. Specific Lobbying Issues (continued): H.R. 436, Health Care Cost Reduction Act (Paulsen) HSA, HRA, FSA provisions, ACA provisions H.R. 450, Restoring Assistance for Families' and Seniors' Health Expenses Act (Reichert) repeal of HSA and FSA restrictions H.R. 524, Restoring Consumer-driven Health Care Act (Quayle) repeal of HSA restrictions H.R. 605, Patients' Freedom to Choose Act (Paulsen) repeal of HSA and FSA restrictions H.R. 1004, Health Flexible Spending Arrangements Improvements Act (Boustany) -- distribution of unused amounts from a Health FSA H.R. 1370, Repeal of ACA Premium Tax (Boustany) H.R. 2010, Family and Retirement Health Investment Act (Paulsen) HSA and FSA improvements H.R. 2529, Restoring Access to Medication Act (Jenkins) use of HSA funds and FSA funds to purchase OTC medications H.R. 5842, Restoring Access to Medication Act (Jenkins) use of HSA, HRA, and FSA funds for over-the-counter medications H.R. 5858, Health Savings Accounts Improvements Act (Herger) HSA provisions H.R. 6005, Long-Term Care and Retirement Security Act (Courtney) tax incentives for purchase of LTC insurance, consumer protections H.R. 6088, Repeal of the Unfair Taxes on Health Care Act (Schweikert) repeal of ACA premium tax and restrictions on HSAs / FSAs H.R. 6137, Helping Save Americans' Health Care Choices Act (Fleming) HSA and FSA provisions H.R. 6162, Ensuring Women's Access to Free-Market Healthcare Act (Cassidy) pregnancy-related coverage by HSA plans S. 312, Patients' Freedom to Choose Act (Hutchison) repeal of HSA and FSA restrictions S. 1098, Family and Retirement Health Investment Act (Hatch) HSA and FSA improvements S. 1368, Restoring Access to Medication Act (Roberts) use of HSA funds and FSA funds to purchase OTC medications S. 1880, Jobs and Premium Protection Act (Barrasso) repeal of health insurance premium tax S. 2237, Small Business Jobs and Tax Relief Act (Reid) amendment to repeal ACA premium tax S. 2516, the FDA Safety and Innovation Act (Harkin) pharmaceutical, medical device issues S. 3187, the FDA Safety and Innovation Act (Harkin) pharmaceutical, medical device issues Regulatory Issues: Annual insurer provider fees; issues concerning the patient-centered outcomes research fee; employer coverage mandate, W-2 reporting requirements, and other issues relating to health care reform implementation.

Client expense: $2,630,000 · Firm income: Not reported

Government targets: Agency for Healthcare Research & Quality (AHRQ), Centers For Medicare and Medicaid Services (CMS), Executive Office of the President (EOP), Federal Bureau of Investigation (FBI), Food & Drug Administration (FDA), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Health Resources & Services Administration (HRSA), Internal Revenue Service (IRS), Justice, Dept of (DOJ), Labor, Dept of (DOL), Medicare Payment Advisory Commission (MedPAC), Office of Management & Budget (OMB), Office of Personnel Management (OPM), Pension & Welfare Benefits Administration, SENATE, Treasury, Dept of, White House Office

Patients Freedom to Choose Act H.R. 605 Health Flexible Spending Arrangements Improvements Act of 2012 H.R. 1004 Medicare Beneficiary Freedom to Choose Act of 2011 H.R. 1051 Preserving our Hometown Independent Pharmacies Act of 2011 H.R. 1946 Family and Retirement Health Investment Act of 2011 H.R. 2010 Tax Parity for Health Plan Beneficiaries Act of 2011 H.R. 2088 Restoring Access to Medication Act of 2012 H.R. 2529/5842 Health Savings Accounts Improvements Act of 2012 H.R. 5858 Health Care Reform regulatory implementation and compliance issues from the Patient Protection and Affordable Care Act (PPACA) Public Law No: 111-148 & the Health Care and Education Reconciliation Act of 2010 (HCERA) Public Law No: 111-152 Senate State Leadership in Health Act S. 73 State Health Care Choice Act S. 244 Empowering States to Innovate Act S. 248 Patients Freedom to Choose Act S. 312 Family and Retirement Health Investment Act S. 1098 Tax Parity for Health Plan Beneficiaries Act of 2011 S. 1171 Restoring Access to Medication Act S. 1368 Health Care Reform regulatory implementation and compliance issues from the Patient Protection and Affordable Care Act (PPACA) Public Law No: 111-148 & the Health Care and Education Reconciliation Act of 2010 (HCERA) Public Law 111-152 Regulatory Proposed Health Information Technology for Economic and Clinical Health (HITECH) Act regulations for HIPAA Accounting of Disclosures Request for Information (RFI) streamlining regulations to reduce regulatory burdens - Improving Regulation and Regulatory Review Executive Order 13563 Semi-Annual Regulatory Agendas HHS, Treasury Guidance for and implementation of the Patient Protection and Affordable Care Act (PPACA) & the Health Care and Education Reconciliation Act of 2010 (HCERA) Frequently Asked Questions (FAQs), employer responsibility provisions (shared responsibility, pay to play), quality improvement efforts, Essential Health Benefits (EHB), W2 informational reporting, Summary of Benefits and Coverage Requirements & uniform glossary requirements, automatic enrollment, waiting periods, medical loss ratios (MLRs), contraceptive coverage, state waivers, state health exchanges, reinsurance assessment, public reporting and accountability related to hospital patient safety measures, Patient-Centered Outcomes Research Institute (PCORI), request for transition relief for health flexible spending arrangements (health FSAs) in non-calendar years, Health Insurance Premium Tax Credit, minimum value of an employer sponsored health plan, health insurance premium tax credit/effect of wellness incentive programs, definition of Full-Time Employee, 90-Day waiting period Medicare and Medicaid Programs; Electronic Health Record Incentive Program Stage 2, Health IT Meaningful Use project Health care provider compensation Internal Revenue Code Section 162 (m) (6) Electronic disclosure, communication by employee benefit plans Consumer directed health care plans HDHPs, HSAs, HRAs FSA Plan Year Limit transition guidance Mental Health Parity Rules

Client expense: $216,050 · Firm income: Not reported

Government targets: Centers For Medicare and Medicaid Services (CMS), Commodity Futures Trading Commission (CFTC), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Internal Revenue Service (IRS), Labor, Dept of (DOL), Office of Management & Budget (OMB), Pension Benefit Guaranty Corporation (PBGC), SENATE, Securities & Exchange Commission (SEC), Treasury, Dept of, White House Office

Support for H.R. 436, Health Care Cost Reduction Act of 2012, H.R. 1004, Medical FSA Improvement Act of 2011 and S.1404, Medical FSA Improvement Act of 2011.

Client expense: Not reported · Firm income: $40,000

Government targets: HOUSE OF REPRESENTATIVES, SENATE

H.R.5-Help Efficient, Accessible, Low Cost, Timely Healthcare (HEALTH) Act of 2011 H.R.157-Health Care Safety Net Enhancement Act of 2011 H.R.314-Medical Liability Procedural Reform Act of 2011 H.R.376-Volunteer Emergency Services Recruitment and Retention Act of 2011 H.R.436-Health Care Cost Reduction Act of 2012 H.R.452-Medicare Decisions Accountability Act of 2011 H.R.541-Pay for all your Undocumented Procedures (PAY UP) Act of 2011 H.R.816-Provider Shield Act of 2011 H.R.896-Medical Justice Act of 2011 H.R.969- Medical Practice Freedom Act of 2011 H.R. 971-Critical Care Assessment and Improvement Act of 2011 H.R.1004-Health Flexible Spending Arrangements Improvements Act of 2012 H.R.1117-Air Ambulance Patient Safety, Protection, and Coordination Act H.R. 1063-Strengthening Medicare And Repaying Taxpayers Act of 2011 H.R. 1206- Access to Professional Health Insurance Advisors Act of 2011 H.R.1256-Medicare Physician Payment Transparency and Assessment Act of 2011 H.R.1310-To amend the Internal Revenue Code of 1986 to exempt certain emergency medical devices from the excise tax on medical devices, and for other purposes H.R.1629-Family Health Care Accessibility Act of 2011 H.R.1668-Danny McIntosh Emergency Medical Service Providers Protection Act H.R.1683-State Flexibility Act H.R.1852-Children's Hospital GME Support Reauthorization Act of 2011 H.R.1941-Hiring Heroes Act of 2011 H.R.2104-Consistency, Accuracy, Responsibility, and Excellence in Medical Imaging and Radiation Therapy (CARE) Act of 2011 H.R.2205-Ending Defensive Medicine and Encouraging Innovative Reforms Act of 2011 H.R.2353-Volunteer Responder Incentive Protection Reauthorization Act of 2011 H.R.2405-Pandemic and All-Hazards Preparedness Reauthorization Act of 2011 H.R.2472-Health Care Professionals Protection Act of 2011 H.R.2488-SERVE Act of 2011 H.R.2523-Physician Availability Act of 2011 H.R.2853-Emergency Medic Transition (EMT) Act of 2011 H.R.2903-Federal Emergency Management Agency (FEMA) Reauthorization Act of 2012 H.R.3000-Empowering Patients First Act H.R.3144-Field EMS Quality Innovation and Cost Effectiveness Improvements Act H.R.3269-Diagnostic Imaging Services Protection Act of 2011 H.R.3511- Cardiac Arrest Survival Act of 2011 H.R.3586-Good Samaritans Health Professionals Act of 2011 H.R.3625-Cardiomyopathy Health Education, Awareness, Risk Assessment, and Training in the Schools (HEARTS) Act of 2011 H.R.4124-Veteran Emergency Medical Technician Support Act of 2012 H.R.4242-Ensuring Quality Health Care for All Americans Act of 2012 H.R.5707-Medicare Physician Payment Innovation Act of 2012 H.R.5842-Restoring Access to Medication Act of 2012 H.R.5858-Health Savings Accounts Improvements Act of 2012 H.R. 6079-Repeal of Obama Care Act H.R. 6142-Assuring Medicare Stability and Access for Seniors Act of 2012 H.R. 6163-National Pediatric Research Network Act of 2012 S.223-FAA Air Transportation Modernization and Safety Improvement Act S.385-Dale Long Emergency Medical Services Providers Protection Act S.668-Health Care Bureaucrats Elimination Act S.868-State Flexibility Act S.932-SERVE Act of 2011 S.933-Volunteer Responder Incentive Protection Reauthorization Act of 2011 S.951-Hiring Heroes Act of 2011 S.958-Children's Hospital GME Support Reauthorization Act of 2011 S.1059-Family Health Care Accessibility Act of 2011 S.1099-Help Efficient, Accessible, Low Cost, Timely Healthcare (HEALTH) Act of 2011 S.1407-Air Ambulance Medicare Accreditation and Accountability Act S.1855-Pandemic and All-Hazards Preparedness Reauthorization Act of 2011

Client expense: $433,244 · Firm income: Not reported

Government targets: HOUSE OF REPRESENTATIVES, SENATE

H.R. 6079: Repeal of Obamacare Act S.3228 Sequestration: Transparency Act of 2012 H.R.5872 Sequestration: Transparency Act of 2012 S. 2068: Access to Independent Health Insurance Advisors Act of 2012 H.R. 1206 Access to Professional Health insurance Advisors Act H.R. 6283 Guaranteed Access to Health Insurance Act of 2012 H.R. 5652 Sequester Replacement Reconciliation Act of 2012 H.R. 1004 Health Flexible Spending Arrangements Improvements Act of 2012 H.R. 5858 Health Savings Account Improvements Act of 2012 H.R. 5842 Restoring Access to Medication Act of 2012 H.R. 5651 Food and Drug Administration Reform Act of 2012 S. 2516 Food and Drug Administration Reform Act of 2012 H.R. 436 Protect Medical Innovation Act of 2012 S. 3187 Food and Drug Administration Safety and Innovation Act H.R. 5 Help Efficient, Accessible, Low-cost, and Timely Healthcare Act H.R. 5652 Sequester Replacement Reconciliation Act of 2012 S. 1099 Seniors Choice Act S. 3414 Cybersecurity Act of 2012 S.3351 Protect our Health Privacy Act S. 3333 Data Security and Breach Notification Act of 2012 H.R. 6352 Physician Shortage Reduction and Graduate Medical Education Accountability Act S.3201 Graduate Medical Education Reform Act S.1627 Resident Physician Shortage H.R. 6174 Common Sense Nutrition Disclosure Act H.R.6482 To amend the Congressional Budget Act of 1974 respecting the scoring of preventive health savings. H.R.6429 STEM Jobs Act of 2012 S. 3276 FISA Amendments Act Reauthorization Act of 2012 H.R. 5949 FISA Amendments Act Reauthorization Act of 2012 S.3465 Care Coordination for Older Americans Act of 2012 S.3430 National Diabetes Clinical Care Commission Act of 2012 H.R. 6562 Resident Physician Shortage Reduction Act of 2012 H.R.6083 Federal Agriculture Reform and Risk Management Act of 2012 H.R.4348 MAP-21

Client expense: $160,000 · Firm income: Not reported

Government targets: Executive Office of the President (EOP), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), SENATE

S. 1506, to prevent the Secretary of the Treasury from expanding United States bank reporting requirements with respect to interest on deposits paid to nonresident aliens. S. 1787, the Wall Street Trading and Speculators Tax Act (provisions to impose a 3-basis-point tax on financial trading transactions). H.J. Res. 108, Providing for congressional disapproval under chapter 8 of title 5, United States Code, of the rules submitted by the Department of the Treasury and the Internal Revenue Service relating to the reporting requirements for interest that relates to deposits maintained at United States offices of certain financial institutions and is paid to certain nonresident alien individuals. H.R. 1004, the Health Flexible Spending Arrangements Improvements Act of 2012. H.R. 1439, the Business Activity Tax Simplification Act of 2011 (all provisions). H.R. 2568, a bill To prevent the Secretary of the Treasury from expanding United States bank reporting requirements with respect to interest on deposits paid to nonresident aliens. H.R. 3313, the Wall Street Trading and Speculators Tax Act (provisions to impose a 3-basis-point tax on financial trading transactions). H.R. 3630, the Temporary Payroll Tax Cut Continuation Act of 2011 (increase in the Fannie Mae and Freddie Mac credit-risk guarantee fees as revenue offset, included in the conference report). H.R. 4336, to amend the Internal Revenue Code of 1986 to extend the exclusion from gross income of discharges of qualified principal residence indebtedness (all provisions). H.R. 4348 (tax haven provision to prohibit U.S. banks from accepting wire transfers or credit cards from certain foreign banks). H.R. 5842, the Restoring Access to Medication Act of 2012. H.R. 5858, the Health Savings Accounts Improvements Act of 2012.

Client expense: $2,100,000 · Firm income: Not reported

Government targets: HOUSE OF REPRESENTATIVES, SENATE

Implementation of Pub. L. No. 111-148, Patient Protection and Affordable Care Act, provisions impacting employers; H.R. 1971/S. 1058, The Pharmacy Competition and Consumer Choice Act of 2011; H.R. 891, The Medication Therapy Management Benefit Act; S. 274, The Medication Therapy Management Empowerment Act; H.R. 1004, Health Flexible Spending Arrangements Improvements Act of 2012.

Client expense: $810,000 · Firm income: Not reported

Government targets: Executive Office of the President (EOP), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Labor, Dept of (DOL), SENATE, Treasury, Dept of

H.R. 9 Small Business Tax Cut Act H.R. 436 Protect Medical Innovation Act H.R. 5842 Restoring Access to Medications Act H.R. 5858 Health Savings Account Improvement Act H.R. 1004 Health Flexible Spending Account Improvement Act S. 1796 Free File Improvement Act of 2011 H.R. 5974 Invest in America Now Act of 2012 H.R. 4348 An act to authorize funds for Federal-aid highways, highway safety programs, and transit programs, and for other purposes. H.R. 6079 Repeal of Obamacare Act S. 971 Digital Goods and Services Tax Fairness Act of 2011 H.R. 1860 Digital Goods and Services Tax Fairness Act of 2011 S.1452 Main Street Fairness Act H.R.2701 Main Street Fairness Act H.R.3179 Marketplace Equity Act of 2011 S.1832 Marketplace Fairness Act H.R. 1834 Freedom to Invest Act of 2011 S. 2204 Repeal Big Oil Tax Subsidies Act

Client expense: $170,000 · Firm income: Not reported

Government targets: Executive Office of the President (EOP), Federal Communications Commission (FCC), HOUSE OF REPRESENTATIVES, SENATE

S. 3187 Food and Drug Administration Safety and Innovation Act H.R. 436 Protect Medical Innovation Act H.R. 5842 Restoring Access to Medications Act H.R. 5858 Health Savings Account Improvement Act H.R. 1004 Health Flexible Spending Account Improvement Act H.R. 6079 Repeal of Obamacare Act,

Client expense: $170,000 · Firm income: Not reported

Government targets: Executive Office of the President (EOP), Federal Communications Commission (FCC), HOUSE OF REPRESENTATIVES, SENATE

Patient Protection and Affordable Care Act (P.L. 111-148, P.L. 111-152); HR 2; ERISA regulations; HR 1744; S 20; HR 2010; S 1098; HR 1370; FSA/HSA changes; HR 1063; Medicare Secondary Payer; HR 2529; S 1368; HR 605; S 312; Budget Control Act; HR 2206; S 1880; HR 450; HR 1004; HR 524

Client expense: $880,000 · Firm income: Not reported

Government targets: Commerce, Dept of (DOC), Consumer Product Safety Commission (CPSC), Equal Employment Opportunity Commission (EEOC), Federal Reserve System, Federal Trade Commission (FTC), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Homeland Security, Dept of (DHS), Internal Revenue Service (IRS), Justice, Dept of (DOJ), Labor, Dept of (DOL), Natl Labor Relations Board (NLRB), Office of Management & Budget (OMB), Office of Thrift Supervision (OTS), Office of the Comptroller of the Currency (OCC), SENATE, Securities & Exchange Commission (SEC), Transportation, Dept of (DOT), Treasury, Dept of, U.S. Customs & Border Protection, U.S. Trade Representative (USTR), White House Office

Various issues related to the Patient Protection and Affordable Care Act (P.L. 111-148) and Health Care and Education Reconciliation Act of 2010 (P.L. 111-152); H.R. 1744/S. 20 employer mandate repeal; H.R. 1063/S. 1718 Medicare Secondary Payer reform; H.R. 2206 auto enrollment repeal; consumer directed health products; H.R. 436; H.R. 5842; H.R. 2529; H.R. 1004; H.R. 5858; H.R. 2010; S. 1098; S. 1368; H.R. 605; S. 312; H.R. 450; Small Business Health Options Program.

Client expense: $900,000 · Firm income: Not reported

Government targets: Commerce, Dept of (DOC), Consumer Product Safety Commission (CPSC), Equal Employment Opportunity Commission (EEOC), Federal Reserve System, Federal Trade Commission (FTC), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Homeland Security, Dept of (DHS), Internal Revenue Service (IRS), Justice, Dept of (DOJ), Labor, Dept of (DOL), Natl Labor Relations Board (NLRB), Office of Management & Budget (OMB), Office of Thrift Supervision (OTS), Office of the Comptroller of the Currency (OCC), SENATE, Securities & Exchange Commission (SEC), Transportation, Dept of (DOT), Treasury, Dept of, U.S. Customs & Border Protection, U.S. Trade Representative (USTR), White House Office

S. 1506, to prevent the Secretary of the Treasury from expanding United States bank reporting requirements with respect to interest on deposits paid to nonresident aliens. S. 1787, the Wall Street Trading and Speculators Tax Act (provisions to impose a 3-basis-point tax on financial trading transactions). H.J. Res. 108, Providing for congressional disapproval under chapter 8 of title 5, United States Code, of the rules submitted by the Department of the Treasury and the Internal Revenue Service relating to the reporting requirements for interest that relates to deposits maintained at United States offices of certain financial institutions and is paid to certain nonresident alien individuals. H.R. 1004, the Health Flexible Spending Arrangements Improvements Act of 2012. H.R. 1439, the Business Activity Tax Simplification Act of 2011 (all provisions). H.R. 2568, a bill To prevent the Secretary of the Treasury from expanding United States bank reporting requirements with respect to interest on deposits paid to nonresident aliens. H.R. 3313, the Wall Street Trading and Speculators Tax Act (provisions to impose a 3-basis-point tax on financial trading transactions). H.R. 3630, the Temporary Payroll Tax Cut Continuation Act of 2011 (increase in the Fannie Mae and Freddie Mac credit-risk guarantee fees as revenue offset, included in the conference report). H.R. 4336, to amend the Internal Revenue Code of 1986 to extend the exclusion from gross income of discharges of qualified principal residence indebtedness (all provisions). H.R. 4348 (tax haven provision to prohibit U.S. banks from accepting wire transfers or credit cards from certain foreign banks). H.R. 5842, the Restoring Access to Medication Act of 2012. H.R. 5858, the Health Savings Accounts Improvements Act of 2012.

Client expense: $2,100,000 · Firm income: Not reported

Government targets: HOUSE OF REPRESENTATIVES, SENATE

H.R.369, Health Savings and Affordability Act (Austria) HSA improvements H.R. 436, Health Care Cost Reduction Act (Paulsen) HSA, HRA, FSA provisions, ACA provisions H.R. 450, Restoring Assistance for Families' and Seniors' Health Expenses Act (Reichert) repeal of HSA and FSA restrictions 16. Specific Lobbying Issues (continued): H.R. 524, Restoring Consumer-driven Health Care Act (Quayle) repeal of HSA restrictions H.R. 605, Patients' Freedom to Choose Act (Paulsen) repeal of HSA and FSA restrictions H.R. 1004, Health Flexible Spending Arrangements Improvements Act (Boustany) -- distribution of unused amounts from a Health FSA H.R. 1370, Repeal of ACA Premium Tax (Boustany) H.R. 2010, Family and Retirement Health Investment Act (Paulsen) HSA and FSA improvements H.R. 2529, Restoring Access to Medication Act (Jenkins) use of HSA funds and FSA funds to purchase OTC medications H.R. 5842, Restoring Access to Medication Act (Jenkins) use of HSA, HRA, and FSA funds for over-the-counter medications H.R. 5858, Health Savings Accounts Improvements Act (Herger) HSA provisions H.R. 6005, Long-Term Care and Retirement Security Act (Courtney) tax incentives for purchase of LTC insurance, consumer protections H.R. 5651, FDA Reform Act (Upton) pharmaceutical, medical device issues S. 312, Patients' Freedom to Choose Act (Hutchison) repeal of HSA and FSA restrictions S. 1098, Family and Retirement Health Investment Act (Hatch) HSA and FSA improvements S. 1368, Restoring Access to Medication Act (Roberts) use of HSA funds and FSA funds to purchase OTC medications S. 1880, Jobs and Premium Protection Act (Barrasso) repeal of health insurance premium tax S. 2516, the FDA Safety and Innovation Act (Harkin) pharmaceutical, medical device issues S. 3187, the FDA Safety and Innovation Act (Harkin) pharmaceutical, medical device issues Regulatory Issues: Annual insurer provider fees; issues concerning the patient-centered outcomes research fee; employer coverage mandate, W-2 reporting requirements, and other issues relating to health care reform implementation.

Client expense: $2,240,000 · Firm income: Not reported

Government targets: Agency for Healthcare Research & Quality (AHRQ), Centers For Medicare and Medicaid Services (CMS), Executive Office of the President (EOP), Federal Bureau of Investigation (FBI), Federal Trade Commission (FTC), Food & Drug Administration (FDA), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Health Resources & Services Administration (HRSA), Internal Revenue Service (IRS), Justice, Dept of (DOJ), Labor, Dept of (DOL), Medicare Payment Advisory Commission (MedPAC), Office of Management & Budget (OMB), Office of Personnel Management (OPM), Pension & Welfare Benefits Administration, SENATE, Treasury, Dept of, White House Office

Insurance and tax issues - HR 5, HR 1206; HR 1004. HR 1173, HR 661. S. 267

Client expense: Not reported · Firm income: $10,000

Government targets: HOUSE OF REPRESENTATIVES, SENATE

S. 1506, to prevent the Secretary of the Treasury from expanding United States bank reporting requirements with respect to interest on deposits paid to nonresident aliens. S. 1787, the Wall Street Trading and Speculators Tax Act (provisions to impose a 3-basis-point tax on financial trading transactions). H.J. Res. 108, Providing for congressional disapproval under chapter 8 of title 5, United States Code, of the rules submitted by the Department of the Treasury and the Internal Revenue Service relating to the reporting requirements for interest that relates to deposits maintained at United States offices of certain financial institutions and is paid to certain nonresident alien individuals. H.R. 1004, the Health Flexible Spending Arrangements Improvements Act of 2012. H.R. 1439, the Business Activity Tax Simplification Act of 2011 (all provisions). H.R. 2568, a bill To prevent the Secretary of the Treasury from expanding United States bank reporting requirements with respect to interest on deposits paid to nonresident aliens. H.R. 3313, the Wall Street Trading and Speculators Tax Act (provisions to impose a 3-basis-point tax on financial trading transactions). H.R. 3630, the Temporary Payroll Tax Cut Continuation Act of 2011 (increase in the Fannie Mae and Freddie Mac credit-risk guarantee fees as revenue offset, included in the conference report). H.R. 4336, to amend the Internal Revenue Code of 1986 to extend the exclusion from gross income of discharges of qualified principal residence indebtedness (all provisions). H.R. 4348 (tax haven provision to prohibit U.S. banks from accepting wire transfers or credit cards from certain foreign banks). H.R. 5842, the Restoring Access to Medication Act of 2012. H.R. 5858, the Health Savings Accounts Improvements Act of 2012.

Client expense: $2,100,000 · Firm income: Not reported

Government targets: HOUSE OF REPRESENTATIVES, SENATE

H.R.5-Help Efficient, Accessible, Low Cost, Timely Healthcare (HEALTH) Act of 2011 H.R.157-Health Care Safety Net Enhancement Act of 2011 H.R.314-Medical Liability Procedural Reform Act of 2011 H.R.376-Volunteer Emergency Services Recruitment and Retention Act of 2011 H.R.436-Health Care Cost Reduction Act of 2012 H.R.452-Medicare Decisions Accountability Act of 2011 H.R.541-Pay for all your Undocumented Procedures (PAY UP) Act of 2011 H.R.816-Provider Shield Act of 2011 H.R.896-Medical Justice Act of 2011 H.R.969- Medical Practice Freedom Act of 2011 H.R. 971-Critical Care Assessment and Improvement Act of 2011 H.R.1004-Health Flexible Spending Arrangements Improvements Act of 2012 H.R.1117-Air Ambulance Patient Safety, Protection, and Coordination Act H.R.1256-Medicare Physician Payment Transparency and Assessment Act of 2011 H.R.1310-To amend the Internal Revenue Code of 1986 to exempt certain emergency medical devices from the excise tax on medical devices, and for other purposes H.R.1629-Family Health Care Accessibility Act of 2011 H.R.1668-Danny McIntosh Emergency Medical Service Providers Protection Act H.R.1683-State Flexibility Act H.R.1852-Children's Hospital GME Support Reauthorization Act of 2011 H.R.1941-Hiring Heroes Act of 2011 H.R.2104-Consistency, Accuracy, Responsibility, and Excellence in Medical Imaging and Radiation Therapy (CARE) Act of 2011 H.R.2205-Ending Defensive Medicine and Encouraging Innovative Reforms Act of 2011 H.R.2353-Volunteer Responder Incentive Protection Reauthorization Act of 2011 H.R.2405-Pandemic and All-Hazards Preparedness Reauthorization Act of 2011 H.R.2472-Health Care Professionals Protection Act of 2011 H.R.2488-SERVE Act of 2011 H.R.2523-Physician Availability Act of 2011 H.R.2853-Emergency Medic Transition (EMT) Act of 2011 H.R.3000-Empowering Patients First Act H.R.3144-Field EMS Quality Innovation and Cost Effectiveness Improvements Act H.R.3269-Diagnostic Imaging Services Protection Act of 2011 H.R.3511- Cardiac Arrest Survival Act of 2011 H.R.3586-Good Samaritans Health Professionals Act of 2011 H.R.3625-Cardiomyopathy Health Education, Awareness, Risk Assessment, and Training in the Schools (HEARTS) Act of 2011 H.R.4124-Veteran Emergency Medical Technician Support Act of 2012 H.R.4242-Ensuring Quality Health Care for All Americans Act of 2012 H.R.5707-Medicare Physician Payment Innovation Act of 2012 H.R.5842-Restoring Access to Medication Act of 2012 H.R.5858-Health Savings Accounts Improvements Act of 2012 S.223-FAA Air Transportation Modernization and Safety Improvement Act S.385-Dale Long Emergency Medical Services Providers Protection Act S.668-Health Care Bureaucrats Elimination Act S.868-State Flexibility Act S.932-SERVE Act of 2011 S.933-Volunteer Responder Incentive Protection Reauthorization Act of 2011 S.951-Hiring Heroes Act of 2011 S.958-Children's Hospital GME Support Reauthorization Act of 2011 S.1059-Family Health Care Accessibility Act of 2011 S.1099-Help Efficient, Accessible, Low Cost, Timely Healthcare (HEALTH) Act of 2011 S.1407-Air Ambulance Medicare Accreditation and Accountability Act S.1855-Pandemic and All-Hazards Preparedness Reauthorization Act of 2011

Client expense: $891,775 · Firm income: Not reported

Government targets: HOUSE OF REPRESENTATIVES, SENATE

Support for H.R. 436, Health Care Cost Reduction Act of 2012, H.R. 1004, Medical FSA Improvement Act of 2011 and S.1404, Medical FSA Improvement Act of 2011.

Client expense: Not reported · Firm income: $40,000

Government targets: HOUSE OF REPRESENTATIVES, SENATE

H.R.5-Help Efficient, Accessible, Low Cost, Timely Healthcare (HEALTH) Act of 2011 H.R.157-Health Care Safety Net Enhancement Act of 2011 H.R.314-Medical Liability Procedural Reform Act of 2011 H.R.376-Volunteer Emergency Services Recruitment and Retention Act of 2011 H.R.436-Health Care Cost Reduction Act of 2012 H.R.452-Medicare Decisions Accountability Act of 2011 H.R.541-Pay for all your Undocumented Procedures (PAY UP) Act of 2011 H.R.816-Provider Shield Act of 2011 H.R.896-Medical Justice Act of 2011 H.R.969- Medical Practice Freedom Act of 2011 H.R. 971-Critical Care Assessment and Improvement Act of 2011 H.R.1004-Health Flexible Spending Arrangements Improvements Act of 2012 H.R.1117-Air Ambulance Patient Safety, Protection, and Coordination Act H.R.1256-Medicare Physician Payment Transparency and Assessment Act of 2011 H.R.1310-To amend the Internal Revenue Code of 1986 to exempt certain emergency medical devices from the excise tax on medical devices, and for other purposes H.R.1629-Family Health Care Accessibility Act of 2011 H.R.1668-Danny McIntosh Emergency Medical Service Providers Protection Act H.R.1683-State Flexibility Act H.R.1852-Children's Hospital GME Support Reauthorization Act of 2011 H.R.1941-Hiring Heroes Act of 2011 H.R.2104-Consistency, Accuracy, Responsibility, and Excellence in Medical Imaging and Radiation Therapy (CARE) Act of 2011 H.R.2205-Ending Defensive Medicine and Encouraging Innovative Reforms Act of 2011 H.R.2353-Volunteer Responder Incentive Protection Reauthorization Act of 2011 H.R.2405-Pandemic and All-Hazards Preparedness Reauthorization Act of 2011 H.R.2472-Health Care Professionals Protection Act of 2011 H.R.2488-SERVE Act of 2011 H.R.2523-Physician Availability Act of 2011 H.R.2853-Emergency Medic Transition (EMT) Act of 2011 H.R.3000-Empowering Patients First Act H.R.3144-Field EMS Quality Innovation and Cost Effectiveness Improvements Act H.R.3269-Diagnostic Imaging Services Protection Act of 2011 H.R.3511- Cardiac Arrest Survival Act of 2011 H.R.3586-Good Samaritans Health Professionals Act of 2011 H.R.3625-Cardiomyopathy Health Education, Awareness, Risk Assessment, and Training in the Schools (HEARTS) Act of 2011 H.R.4124-Veteran Emergency Medical Technician Support Act of 2012 H.R.4242-Ensuring Quality Health Care for All Americans Act of 2012 H.R.5707-Medicare Physician Payment Innovation Act of 2012 H.R.5842-Restoring Access to Medication Act of 2012 H.R.5858-Health Savings Accounts Improvements Act of 2012 S.223-FAA Air Transportation Modernization and Safety Improvement Act S.385-Dale Long Emergency Medical Services Providers Protection Act S.668-Health Care Bureaucrats Elimination Act S.868-State Flexibility Act S.932-SERVE Act of 2011 S.933-Volunteer Responder Incentive Protection Reauthorization Act of 2011 S.951-Hiring Heroes Act of 2011 S.958-Children's Hospital GME Support Reauthorization Act of 2011 S.1059-Family Health Care Accessibility Act of 2011 S.1099-Help Efficient, Accessible, Low Cost, Timely Healthcare (HEALTH) Act of 2011 S.1407-Air Ambulance Medicare Accreditation and Accountability Act S.1855-Pandemic and All-Hazards Preparedness Reauthorization Act of 2011

Client expense: $891,775 · Firm income: Not reported

Government targets: HOUSE OF REPRESENTATIVES, SENATE

H.R.369, Health Savings and Affordability Act (Austria) - HSA improvements H.R. 436, Health Care Cost Reduction Act (Paulsen) - HSA, HRA, FSA provisions, ACA provisions H.R. 450, Restoring Assistance for Families' and Seniors' Health Expenses Act (Reichert) - repeal of HSA and FSA restrictions H.R. 524, Restoring Consumer-driven Health Care Act (Quayle) - repeal of HSA restrictions H.R. 605, Patients' Freedom to Choose Act (Paulsen) - repeal of HSA and FSA restrictions H.R. 1004, Health Flexible Spending Arrangements Improvements Act (Boustany) -- distribution of unused amounts from a Health FSA H.R. 1370, Repeal of ACA Premium Tax (Boustany) H.R. 2010, Family and Retirement Health Investment Act (Paulsen) - HSA and FSA improvements H.R. 2529, Restoring Access to Medication Act (Jenkins) - use of HSA funds and FSA funds to purchase OTC medications H.R. 5842, Restoring Access to Medication Act (Jenkins) - use of HSA, HRA, and FSA funds for over-the-counter medications H.R. 5858, Health Savings Accounts Improvements Act (Herger) - HSA provisions H.R. 6005, Long-Term Care and Retirement Security Act (Courtney) - tax incentives for purchase of LTC insurance, consumer protections H.R. 5651, FDA Reform Act (Upton) - pharmaceutical, medical device issues S. 312, Patients' Freedom to Choose Act (Hutchison) - repeal of HSA and FSA restrictions S. 1098, Family and Retirement Health Investment Act (Hatch) - HSA and FSA improvements S. 1368, Restoring Access to Medication Act (Roberts) - use of HSA funds and FSA funds to purchase OTC medications S. 1880, Jobs and Premium Protection Act (Barrasso) - repeal of health insurance premium tax S. 2516, the FDA Safety and Innovation Act (Harkin) - pharmaceutical, medical device issues S. 3187, the FDA Safety and Innovation Act (Harkin) - pharmaceutical, medical device issues

Client expense: Not reported · Firm income: $60,000

Government targets: HOUSE OF REPRESENTATIVES, SENATE

The association monitors and reacts to policy concepts that may impact its ability to continue providing its high quality Group Health Plan to members, their employees, and the association staff at affordable rates and on reasonable terms and conditions. During the reporting period, the following introduced bills in this category were focused upon. H.R. 1004 - The Medical Flexible Spending Act Improvement Act (all sections) H.R. 5842 - The Restoring Access to Medication Act (all sections)

Client expense: $220,000 · Firm income: Not reported

Government targets: Agriculture, Dept of (USDA), HOUSE OF REPRESENTATIVES, SENATE

Patients Freedom to Choose Act H.R. 605 Health Flexible Spending Arrangements Improvements Act of 2012 H.R. 1004 Medicare Beneficiary Freedom to Choose Act of 2011 H.R. 1051 Preserving our Hometown Independent Pharmacies Act of 2011 H.R. 1946 Family and Retirement Health Investment Act of 2011 H.R. 2010 Tax Parity for Health Plan Beneficiaries Act of 2011 H.R. 2088 Restoring Access to Medication Act of 2012 H.R. 2529/5842 Health Savings Accounts Improvements Act of 2012 H.R. 5858 Health Care Reform regulatory implementation and compliance issues from the Patient Protection and Affordable Care Act (PPACA) Public Law No: 111-148 & the Health Care and Education Reconciliation Act of 2010 (HCERA) Public Law No: 111-152 Fiscal Year 2012 & 2012 Budget Proposals budgetary impacts of health entitlement programs Joint Select Committee on Deficit Reduction impact on employee benefits provisions Senate State Leadership in Health Act S. 73 State Health Care Choice Act S. 244 Empowering States to Innovate Act S. 248 Patients Freedom to Choose Act S. 312 Family and Retirement Health Investment Act S. 1098 Tax Parity for Health Plan Beneficiaries Act of 2011 S. 1171 Restoring Access to Medication Act S. 1368 Health Care Reform regulatory implementation and compliance issues from the Patient Protection and Affordable Care Act (PPACA) Public Law No: 111-148 & the Health Care and Education Reconciliation Act of 2010 (HCERA) Public Law 111-152 Fiscal Year 2012 & 2013 Budget Proposals budgetary impacts of health, health care reform and retirement entitlement programs Joint Select Committee on Deficit Reduction impact on employee benefits provisions Regulatory Proposed Health Information Technology for Economic and Clinical Health (HITECH) Act regulations for HIPAA Accounting of Disclosures Request for Information (RFI) streamlining regulations to reduce regulatory burdens - Improving Regulation and Regulatory Review Executive Order 13563 Semi-Annual Regulatory Agendas HHS, Treasury Guidance for and implementation of the Patient Protection and Affordable Care Act (PPACA) & the Health Care and Education Reconciliation Act of 2010 (HCERA) Frequently Asked Questions (FAQs), employer responsibility provisions (shared responsibility, pay to play), W2 informational reporting, Summary of Benefits and Coverage Requirements & uniform glossary requirements, automatic enrollment, waiting periods, medical loss ratios (MLRs), contraceptive coverage, state waivers, state health exchanges, reinsurance assessment, public reporting and accountability related to hospital patient safety measures, Patient-Centered Outcomes Research Institute (PCORI), request for transition relief for health flexible spending arrangements (health FSAs) in non-calendar years, Health Insurance Premium Tax Credit, minimum value of an employer sponsored health plan Medicare and Medicaid Programs; Electronic Health Record Incentive Program Stage 2, Health IT Meaningful Use project Health care provider compensation Internal Revenue Code Section 162 (m) (6) Electronic disclosure, communication by employee benefit plans Consumer directed health care plans HDHPs, HSAs, HRAs FSA Plan Year Limit transition guidance

Client expense: $246,648 · Firm income: Not reported

Government targets: Centers For Medicare and Medicaid Services (CMS), Commodity Futures Trading Commission (CFTC), Equal Employment Opportunity Commission (EEOC), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Internal Revenue Service (IRS), Labor, Dept of (DOL), Office of Management & Budget (OMB), Pension Benefit Guaranty Corporation (PBGC), SENATE, Securities & Exchange Commission (SEC), Treasury, Dept of, White House Office

Annual fee on health insurance providers enacted by the Patient Protection and Affordable Care Act - HR 1370, To repeal the annual fee on health insurance providers enacted by the Patient Protection and Affordable Care Act. *HSA improvements - HR 369, Health Savings and Affordability Act of 2011. *Repeal of HSA restrictions - HR 524, Restoring Consumer-driven Health Care Act of 2011. *Repeal of HSA and FSA restrictions - HR 450, Restoring Assistance for Families' and Seniors' Health Expenses Act of 2011; HR 605, Patients' Freedom to Choose Act; S 312, Patients' Freedom to Choose Act. *HSA and FSA improvements - HR 2010, Family and Retirement Health Investment Act of 2011; S 1098, Family and Retirement Health Investment Act of 2011. *Use of HSA and FSA funds to purchase OTC medications - HR 2529, Restoring Access to Medication Act; S 1368, Restoring Access to Medication Act; HR 5842, Restoring Access to Medication Act of 2012. *Health insurance premium tax - S 1880, Jobs and Premium Protection Act. *HSA, HRA, FSA provisions, ACA provisions - HR 436, Health Care Cost Reduction Act of 2012. *Distribution of unused amounts from a health FSA - HR 1004, Health Flexible Spending Arrangements Improvements Act of 2012. *HSA provisions - HR 5858, Health Savings Accounts Improvements Act of 2012. *Tax incentives for purchase of LTC insurance, consumer protections - HR 6005, Long-Term Care and Retirement Security Act of 2012.

Client expense: Not reported · Firm income: $100,000

Government targets: HOUSE OF REPRESENTATIVES

Monitored issues pertaining to account-based plans S. 1404/H.R. 1004, the Medical FSA Improvement Act H.R. 2529, Restoring Access to Medication Act (and all other similar bills to repeal the OTC Rx requirement)

Client expense: Not reported · Firm income: $10,000

Government targets: HOUSE OF REPRESENTATIVES, SENATE

Monitored issues pertaining to account-based plans S. 1404/H.R. 1004, the Medical FSA Improvement Act H.R. 2529, Restoring Access to Medication Act (and all other similar bills to repeal the OTC Rx requirement)

Client expense: Not reported · Firm income: $10,000

Government targets: HOUSE OF REPRESENTATIVES, SENATE

Monitored issues pertaining to account-based plans. S. 1404, Medical FSA Improvement Act of 2011 H.R. 2529, Restoring Access to Medication Act H.R. 1004, Medical FSA Improvement Act of 2011

Client expense: Not reported · Firm income: $40,000

Government targets: HOUSE OF REPRESENTATIVES, SENATE

HR 4628 Interest Rate Reduction Act HR 5789 School Lunch Improvements for Children's Education(SLICE) Act HR 4297 Workforce Investment Improvement Act of 2012 HR 4366 Project Ready STEM Act HR 5652: Sequester Replacement Reconciliation Act of 2012 S. 2068: Access to Independent Health Insurance Advisors Act of 2012 HR 5652: Sequester Replacement Reconciliation Act of 2012 S. 2196: Congressional Health Care for Seniors Act of 2012 HR 1004, Health Flexible Spending Arrangements Improvements Act of 2012 HR 5858, Health Savings Account Improvements Act of 2012 HR 5842, Restoring Access to Medication Act of 2012 HR 5979 : Medicaid Accountability and Care Act of 2012 S 2196: Congressional Health Care for Seniors Act S 1099: Seniors Choice Act S 2105: Cybersecurity Act of 2012 S 3333: Data Security and Breach Notification Act of 2012 S 2151: SECURE IT Act HR 3523: Cyber Intelligence Sharing and Protection Act HR 4257: Federal Information Security Amendments HR 2096: Cybersecurity Enhancement Act HR 3834: Advancing Americas Networking and Information Technology Research and Development (NITRD) Act HR6043: To amend the Public Health Service Act and the Social Security Act to extend health information technology assistance eligibility to behavioral health, mental health, and substance abuse professionals and facilities, and for other purposes. S2243 : Medicare Better Health Rewards Program Act of 2012 HR 4483 Broadening Participation in STEM Education Act S 3192 SMART Jobs Act S 3185 Securing the Talent America Requires for the 21st Century Act of 2012 HR 5651/S. 2516: Food and Drug Administration Reform Act of 2012 HR 436: Protect Medical Innovation Act of 2012 S 3187: Food and Drug Administration Safety and Innovation Act HR 5: Help Efficient, Accessible, Low-cost, and Timely Healthcare Act HR 5652: Sequester Replacement Reconciliation Act of 2012 HR 5707 : Medicare Physician Payment Innovation Act

Client expense: $220,000 · Firm income: Not reported

Government targets: Executive Office of the President (EOP), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), SENATE

Issues related to health care/insurance reform; long-term care reform; H.R. 5; H.R. 1173; H.R. 1206; H.R. 1004 Issues related to the implementation of the Patient Protection and Affordable Care Act of 2010.

Client expense: $535,000 · Firm income: Not reported

Government targets: Centers For Medicare and Medicaid Services (CMS), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Labor, Dept of (DOL), SENATE, Securities & Exchange Commission (SEC)

Insurance and tax issues - HR 5, HR 1206; HR 1004. HR 1173, HR 661. S. 267

Client expense: Not reported · Firm income: $10,000

Government targets: HOUSE OF REPRESENTATIVES, SENATE

Monitored issues pertaining to account-based plans S. 1404, the Medical FSA Improvement Act of 2011 H.R. 2529, Restoring Access to Medication Act (and all other similar bills to repeal the OTC Rx requirement) H.R. 1004, Medical FSA Improvement Act

Client expense: Not reported · Firm income: $10,000

Government targets: HOUSE OF REPRESENTATIVES, SENATE

Patient Protection and Affordable Care Act (P.L. 111-148, P.L. 111-152); HR 2; ERISA regulations; HR 1744; S 20; HR 2010; S 1098; HR 1370; FSA/HSA changes; HR 1063; Medicare Secondary Payer; HR 2529; S 1368; HR 605; S 312; Budget Control Act; HR 2206; S 1880; HR 450; HR 1004; HR 524

Client expense: $880,000 · Firm income: Not reported

Government targets: Commerce, Dept of (DOC), Consumer Product Safety Commission (CPSC), Equal Employment Opportunity Commission (EEOC), Federal Reserve System, Federal Trade Commission (FTC), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Homeland Security, Dept of (DHS), Internal Revenue Service (IRS), Justice, Dept of (DOJ), Labor, Dept of (DOL), Natl Labor Relations Board (NLRB), Office of Management & Budget (OMB), Office of Thrift Supervision (OTS), Office of the Comptroller of the Currency (OCC), SENATE, Securities & Exchange Commission (SEC), Transportation, Dept of (DOT), Treasury, Dept of, U.S. Customs & Border Protection, U.S. Trade Representative (USTR), White House Office